Liu Zhuo-Jue, Xiong Xue-Peng, Zhao Yi-Fang
Department of Oral and Maxillofacial Surgery, School of Stomatology, Wuhan University, Wuhan, China.
J Craniofac Surg. 2017 Sep;28(6):e577-e579. doi: 10.1097/SCS.0000000000003890.
Osteoradionecrosis occurs in 4.74% to 37.5% of patients following radiation therapy for head and neck cancer. Osteoradionecrosis mostly happens in the mandible but seldom occurs in other maxillofacial bones. Here, the authors reported a rare case of zygomatic osteoradionecrosis which occurred after maxillectomy and then radiotherapy because of maxillary myoepithelial carcinoma. After resection of zygoma sequestrum, the defect was repaired with forehead flap and healed uneventfully.
头颈部癌放疗后,4.74%至37.5%的患者会发生放射性骨坏死。放射性骨坏死大多发生在下颌骨,很少发生在其他颌面骨。在此,作者报告了1例罕见的颧骨放射性骨坏死病例,该病例发生于上颌骨切除术后,继发于因上颌肌上皮癌而行的放射治疗。切除颧骨死骨后,采用额部皮瓣修复缺损,愈合顺利。